ジェーンウェー病変
WordNet
- any localized abnormal structural change in a bodily part
PrepTutorEJDIC
- 傷害,傷 / (体の組織や機能の)障害
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/12 16:48:07」(JST)
[Wiki en表示]
| Janeway lesion |
| Classification and external resources |
| ICD-10 |
A41.8 (ILDS A41.820) |
Janeway lesions are non-tender, small erythematous or haemorrhagic macular or nodular lesions on the palms or soles only a few millimeters in diameter that are indicative of infective endocarditis.[1] Pathologically, the lesion is described to be a microabscess of the dermis with marked necrosis and inflammatory infiltrate not involving the epidermis.[1] They are caused by septic emboli which deposit bacteria, forming microabscesses.[2] Janeway lesions are distal, flat, ecchymotic, and painless.
Osler's nodes and Janeway lesions are similar, but Osler's nodes present with tenderness and are of immunologic origin.[3]
Contents
- 1 Eponym
- 2 See also
- 3 References
- 4 Supporting images
Eponym
They are named after Edward Janeway (1841-1911), a prominent American physician and pathologist who initially described the lesions.
See also
- Roth's spots
- Osler's node
References
- ^ a b Farrior, J.B.; Silverman M.E. (1976). "A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis". Chest. 70 (2): 239–243. doi:10.1378/chest.70.2.239. PMID 947688.
- ^ Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 7th ed., Churchill Livingstone 2009.
- ^ Farrior JB, Silverman ME (August 1976). "A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis". Chest 70 (2): 239–243. doi:10.1378/chest.70.2.239. PMID 947688.
Supporting images
- figure1[dead link]
- figure2
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Eponymous medical signs for circulatory system
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| Heart disease |
| Heart murmur |
- Systolic heart murmur: benign paediatric heart murmur (Still's murmur)
- Diastolic heart murmur: pulmonic regurgitation (Graham Steell murmur)
- aortic insufficiency (Austin Flint murmur) carey coombs murmur
- mitral regurgitation (Presystolic murmur)
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| Aortic insufficiency |
- Watson's water hammer pulse/Corrigan pulse
- De Musset's sign
- Duroziez's sign
- Müller's sign
- Quincke's sign
- Austin Flint murmur
- Mayne's sign
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| Other endocardium |
- endocarditis: Roth's spot
- Janeway lesion/Osler's node
- Bracht-Wachter bodies
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| Pericardium |
- cardiac tamponade/pericardial effusion: Beck's triad
- Ewart's sign
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| Other |
- rheumatic fever: Anitschkow cell
- Aschoff body
- angina pectoris (Levine's sign)
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|
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| Vascular disease |
| Arterial |
- aortic aneurysm (Cardarelli's sign, Oliver's sign)
- pulmonary embolism (McConnell's sign)
- radial artery sufficiency (Allen's test)
- pseudohypertension (Osler's sign)
- thrombus (Lines of Zahn)
- Adson's sign
- arteriovenous fistula (Nicoladoni sign)
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| Venous |
- Friedreich's sign
- Caput medusae
- Kussmaul's sign
- DVT
- Bancroft's sign
- Homans sign
- Lisker's sign
- Louvel's sign
- Lowenberg's sign
- Peabody's sign
- Pratt's sign
- Rose's sign
- Trendelenburg test
- superior vena cava syndrome (Pemberton's sign)
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Index of the heart
|
|
| Description |
- Anatomy
- Physiology
- Development
|
|
| Disease |
- Injury
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Blood tests
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| Treatment |
- Procedures
- Drugs
- glycosides
- other stimulants
- antiarrhythmics
- vasodilators
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Index of the circulatory system
|
|
| Description |
- Anatomy
- Arteries
- head and neck
- arms
- chest
- abdomen
- legs
- Veins
- head and neck
- arms
- chest
- abdomen and pelvis
- legs
- Development
- Cells
- Physiology
|
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| Disease |
- Congenital
- Neoplasms and cancer
- Lymphatic vessels
- Injury
- Vasculitis
- Other
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- beta blockers
- channel blockers
- diuretics
- nonsympatholytic vasodilatory antihypertensives
- peripheral vasodilators
- renin–angiotensin system
- sympatholytic antihypertensives
- vasoprotectives
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UpToDate Contents
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Japanese Journal
- 感染性心内膜炎を併発し死亡したアトピー性皮膚炎の１例
- 足立 準,毛利 有希,庄田 裕紀子,羽白 誠
- 皮膚 42(2), 148-152, 2000
- 27歳, 男性。数年前より治療を拒否して自宅にひきこもり, 重症化したアトピー性皮膚炎患者に, 感染性心内膜炎, さらに播種性血管内凝固 (DIC) をきたし, 死亡に至った症例を経験した。皮膚, 血液培養より黄色ブドウ球菌 (MSSA) が検出され, 皮膚よりの細菌侵入が考えられた。感染性心内膜炎に伴う皮疹として, 手指, 足底に点状出血斑, 爪甲下の出血斑が認められた。
- NAID 130004046056
- The identification of methicillin-resistant Staphylococcus aureus in Osler's nodes and Janeway lesions of acute bacterial endocarditis
- 救命し得た<I>Candida tropicalis</I>性心内膜炎の1例
- 春日井 啓悦,渡辺 尚彦,中村 俊香,外園 光一,朝日 洋一,村山 正博,須階 二朗,岡田 忠彦,川田 忠典,阿部 光文,品川 俊人,小林 芳夫
- 感染症学雑誌 64(5), 636-641, 1990
- 感染性心内膜炎 (IE) の内で, カンジダ性心内膜炎の頻度は0.6%と少ないが致命率の高い疾患である.今回, 救命し得たカンジダ性IEを経験したので報告した.<BR>症例: 34歳男性.主訴;発熱.飲酒歴;18歳から連日焼酎360ml飲用.既往歴;1985年11月急性出血性壊死性膵炎, その後腹腔内膿瘍を併発し, 長期にわたる抗生剤の使用と中心静脈栄養による管理を必要とした.現病歴; …
- NAID 130004329658
Related Pictures
★リンクテーブル★
[★]
- 英
- Janeway lesions
- 同
- ジェンウェー病変 Janeway病変、ジェーンウェー斑 ジェーンウェ斑 Janeway斑 Janeway spot
- 関
- 感染性心内膜炎、オスラー結節
[show details]
- 感染性心内膜炎に併発。
- 指趾掌蹠に生じる。無痛性紅色斑、浸潤性紫斑。
参考
- http://4.bp.blogspot.com/_ZWqgYBROGHw/TAqFZPlz4XI/AAAAAAAAA20/p7aljPbsHaM/s400/janeway_lesion.jpg
- http://jimbocyberdoc.files.wordpress.com/2007/11/img_2961-small.jpg
- http://heart.bmj.com/content/87/6/e8/F1.large.jpg
[★]
- 英
- endocarditis
- 関
- 感染性心内膜炎、心内膜
- 抜歯、カテーテルなどの処置
- MRなどの弁膜症、先天性心疾患、人工置換
身体所見 NEL.1954
- 体温の上昇
- 頻拍
- embolic phenomena
- 手掌・足底のJaneway lesions(painless small erythematous or hemorrhagic lesions on the palms and soles)
- 心雑音
- 脾腫
- 関節痛
- 心不全
- 不整脈
- metastatic infection、
- clubbing
[★]
- 関
- abolish、barrier、break、damage、destroy、destruction、difficulty、dismantle、disorder、disrupt、disruptant、disruption、disturbance、dysfunction、foe、hindrance、impair、impairment、impediment、injury、insult、obstacle、rupture、subversion、subvert
